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Arrebola JP, Belhassen H, Artacho-Cordón F, Ghali R, Ghorbel H, Boussen H, Perez-Carrascosa FM, Expósito J, Hedhili A, Olea N. Risk of female breast cancer and serum concentrations of organochlorine pesticides and polychlorinated biphenyls: a case-control study in Tunisia. THE SCIENCE OF THE TOTAL ENVIRONMENT 2015; 520:106-13. [PMID: 25804877 DOI: 10.1016/j.scitotenv.2015.03.045] [Citation(s) in RCA: 74] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2015] [Revised: 03/10/2015] [Accepted: 03/10/2015] [Indexed: 05/15/2023]
Abstract
The aim of this study was to investigate the association between serum concentrations of a group of organochlorine pesticides/polychlorinated biphenyls with xenoestrogenic potential and the risk of breast cancer in a female population from Tunisia. The relationship between serum levels of the pollutants and the risk of cancer was assessed using logistic regression analyses. In the unadjusted models, β-hexachlorocyclohexane (β-HCH), hexachlorobenzene, heptachlor, polychlorinated biphenyl congeners 138, 153, and 180, and p,p'-dichlorodiphenyldichloroethylene (p,p'-DDE) were positively associated with breast cancer risk. However, when the models were further adjusted for the selected covariates, only β-HCH and p,p'-DDE remained statistically significant, and heptachlor was borderline significant. In addition, analyses using POP concentration tertiles corroborated a positive dose-response relationship that was significant for p,p'-DDE (p-trend=0.020) and borderline significant for heptachlor (p-trend=0.078). A similar trend was also confirmed for β-HCH, in which concentrations≥limit of detection were positively associated with breast cancer risk (vs. concentrations<limit of detection, OR=3.44, p<0.05). Finally, the relative influence of each chemical in the presence of the others was assessed by entering the three chemicals in a single model with all covariates, and only β-HCH remained positively associated with the risk of cancer (OR:1.18, 95%CI: 1.05-1.34). Our findings suggest a potential association between exposure to at least one organochlorine pesticide and breast cancer risk. However, our results should be interpreted with caution, and further research is warranted to confirm these findings.
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Affiliation(s)
- Juan P Arrebola
- Radiation Oncology Department, Virgen de las Nieves University Hospital, Granada, Spain; San Cecilio University Hospital, Instituto de Investigación Biosanitaria ibs. Granada, University of Granada, CIBERESP, Spain.
| | - Hidaya Belhassen
- Center of Urgent Medical Assistance of Tunis, Laboratory of Toxicology and Environment (LR12SP07), Montfleury, Tunis 1008, Tunisia
| | - Francisco Artacho-Cordón
- San Cecilio University Hospital, Instituto de Investigación Biosanitaria ibs. Granada, University of Granada, CIBERESP, Spain
| | - Ridha Ghali
- Center of Urgent Medical Assistance of Tunis, Laboratory of Toxicology and Environment (LR12SP07), Montfleury, Tunis 1008, Tunisia
| | - Hayet Ghorbel
- Center of Urgent Medical Assistance of Tunis, Laboratory of Toxicology and Environment (LR12SP07), Montfleury, Tunis 1008, Tunisia
| | | | | | - José Expósito
- Radiation Oncology Department, Virgen de las Nieves University Hospital, Granada, Spain
| | - Abderrazek Hedhili
- Center of Urgent Medical Assistance of Tunis, Laboratory of Toxicology and Environment (LR12SP07), Montfleury, Tunis 1008, Tunisia
| | - Nicolás Olea
- San Cecilio University Hospital, Instituto de Investigación Biosanitaria ibs. Granada, University of Granada, CIBERESP, Spain
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Wielsøe M, Long M, Ghisari M, Bonefeld-Jørgensen EC. Perfluoroalkylated substances (PFAS) affect oxidative stress biomarkers in vitro. CHEMOSPHERE 2015; 129:239-45. [PMID: 25455676 DOI: 10.1016/j.chemosphere.2014.10.014] [Citation(s) in RCA: 146] [Impact Index Per Article: 16.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2014] [Revised: 09/26/2014] [Accepted: 10/07/2014] [Indexed: 05/25/2023]
Abstract
Perfluoroalkylated substances (PFAS) have been widely used since 1950s and humans are exposed through food, drinking water, consumer products, dust, etc. The long-chained PFAS are persistent in the environment and accumulate in wildlife and humans. They are suspected carcinogens and a potential mode of action is through generation of oxidative stress. Seven long-chained PFAS found in human serum were investigated for the potential to generate reactive oxygen species (ROS), induce DNA damage and disturb the total antioxidant capacity (TAC). The tested PFAS were perfluorohexane sulfonate (PFHxS), perfluorooctane sulfonic acid (PFOS), perfluoroctanoic acid (PFOA), perfluorononanoate (PFNA), perfluorodecanoate (PFDA), perfluoroundecanoate (PFUnA), and perfluorododecanoate (PFDoA). Using the human hepatoma cell line (HepG2) and an exposure time of 24h we found that all three endpoints were affected by one or more of the compounds. PFHxS, PFOA, PFOS and PFNA showed a dose dependent increase in DNA damage in the concentration range from 2×10(-7) to 2×10(-5)M determined by the comet assay. Except for PFDoA, all the other PFAS increased ROS generation significantly. For PFHxS and PFUnA the observed ROS increases were dose-dependent. Cells exposed to PFOA were found to have a significant lower TAC compared with the solvent control, whereas a non-significant trend in TAC decrease was observed for PFOS and PFDoA and an increase tendency for PFHxS, PFNA and PFUnA. Our results indicate a possible genotoxic and cytotoxic potential of the PFAS in human liver cells.
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Affiliation(s)
- Maria Wielsøe
- Centre for Arctic Health & Cellular and Molecular Toxicology, Department of Public Health, Bartholins Allé 2, Aarhus University, 8000 Aarhus, Denmark
| | - Manhai Long
- Centre for Arctic Health & Cellular and Molecular Toxicology, Department of Public Health, Bartholins Allé 2, Aarhus University, 8000 Aarhus, Denmark
| | - Mandana Ghisari
- Centre for Arctic Health & Cellular and Molecular Toxicology, Department of Public Health, Bartholins Allé 2, Aarhus University, 8000 Aarhus, Denmark
| | - Eva C Bonefeld-Jørgensen
- Centre for Arctic Health & Cellular and Molecular Toxicology, Department of Public Health, Bartholins Allé 2, Aarhus University, 8000 Aarhus, Denmark.
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Reaves DK, Ginsburg E, Bang JJ, Fleming JM. Persistent organic pollutants and obesity: are they potential mechanisms for breast cancer promotion? Endocr Relat Cancer 2015; 22:R69-86. [PMID: 25624167 PMCID: PMC4352112 DOI: 10.1530/erc-14-0411] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Dietary ingestion of persistent organic pollutants (POPs) is correlated with the development of obesity. Obesity alters metabolism, induces an inflammatory tissue microenvironment, and is also linked to diabetes and breast cancer risk/promotion of the disease. However, no direct evidence exists with regard to the correlation among all three of these factors (POPs, obesity, and breast cancer). Herein, we present results from current correlative studies indicating a causal link between POP exposure through diet and their bioaccumulation in adipose tissue that promotes the development of obesity and ultimately influences breast cancer development and/or progression. Furthermore, as endocrine disruptors, POPs could interfere with hormonally responsive tissue functions causing dysregulation of hormone signaling and cell function. This review highlights the critical need for advanced in vitro and in vivo model systems to elucidate the complex relationship among obesity, POPs, and breast cancer, and, more importantly, to delineate their multifaceted molecular, cellular, and biochemical mechanisms. Comprehensive in vitro and in vivo studies directly testing the observed correlations as well as detailing their molecular mechanisms are vital to cancer research and, ultimately, public health.
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Affiliation(s)
- Denise K Reaves
- Department of BiologyNorth Carolina Central University, MTSC Room 2247, 1801 Fayetteville Street, Durham, North Carolina 27707, USANational Cancer InstituteNational Institutes of Health, Center for Cancer Training, Bethesda, Maryland 20892, USADepartment of BiologyNorth Carolina Central University, Durham, North Carolina 27707, USA
| | - Erika Ginsburg
- Department of BiologyNorth Carolina Central University, MTSC Room 2247, 1801 Fayetteville Street, Durham, North Carolina 27707, USANational Cancer InstituteNational Institutes of Health, Center for Cancer Training, Bethesda, Maryland 20892, USADepartment of BiologyNorth Carolina Central University, Durham, North Carolina 27707, USA
| | - John J Bang
- Department of BiologyNorth Carolina Central University, MTSC Room 2247, 1801 Fayetteville Street, Durham, North Carolina 27707, USANational Cancer InstituteNational Institutes of Health, Center for Cancer Training, Bethesda, Maryland 20892, USADepartment of BiologyNorth Carolina Central University, Durham, North Carolina 27707, USA
| | - Jodie M Fleming
- Department of BiologyNorth Carolina Central University, MTSC Room 2247, 1801 Fayetteville Street, Durham, North Carolina 27707, USANational Cancer InstituteNational Institutes of Health, Center for Cancer Training, Bethesda, Maryland 20892, USADepartment of BiologyNorth Carolina Central University, Durham, North Carolina 27707, USA
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Zhang J, Huang Y, Wang X, Lin K, Wu K. Environmental Polychlorinated Biphenyl Exposure and Breast Cancer Risk: A Meta-Analysis of Observational Studies. PLoS One 2015; 10:e0142513. [PMID: 26555153 PMCID: PMC4640539 DOI: 10.1371/journal.pone.0142513] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Accepted: 10/22/2015] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Association between polychlorinated biphenyl (PCB) exposure and breast cancer risk has been widely studied, but the results remain controversial. We performed a meta-analysis to evaluate the evidences from observational studies on PCB exposure and breast cancer risk. METHODS Relevant studies with data on internal PCB dose were identified from PubMed, EMBASE, CBM and CNKI databases through November 2014. Multivariable-adjusted odds ratio (OR) with 95% confidence intervals (CIs) were applied to assess the association between PCB exposure and breast cancer risk. Heterogeneity test, sensitivity analysis, subgroup analysis and publication bias test were also performed. To further explore the association between specific groups of PCB congeners and breast cancer, we examined the PCB congeners classified, according to their structural, biological and pharmacokinetics properties, as group I (potentially estrogenic), group II (potentially anti-estrogenic and immunotoxic, dioxin-like), and group III (phenobarbital, CYP1A and CYP2B inducers, biologically persistent). RESULTS Of 660 studies screened, 25 studies which met criteria were selected, involving a total of 12866 participants (6088 cases and 6778 controls) from eight countries. The results showed that the risk of breast cancer was associated with group II (OR = 1.23, 95% CI: 1.08-1.40) and group III (OR = 1.25, 95% CI: 1.09-1.43) PCBs, but not with group I (OR = 1.10, 95%CI: 0.97-1.24) PCBs or total PCB exposure (OR = 1.09, 95%CI: 0.97-1.22). CONCLUSIONS Our meta-analysis based on the selected studies found group II and group III PCB exposure might contribute to the risk of breast cancer. More studies in developing countries with higher PCB levels are needed, as well as studies to explore the relationships between mixtures of organochlorine compounds and breast cancer risk.
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Affiliation(s)
- Jingwen Zhang
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong, China
| | - Yue Huang
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong, China
| | - Xiaoling Wang
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong, China
| | - Kun Lin
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong, China
| | - Kusheng Wu
- Department of Preventive Medicine, Shantou University Medical College, Shantou, Guangdong, China
- * E-mail:
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